| Organization Name: | LAS GERIATRIC CARE SERVICES, INC. |
| NPI Number: | 1548280076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID FENOGLIETTO (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 100 Superior Ave Aliquippa |
| State: | PA US |
| Postal Code: | 150013629 |
| Phone Number: | 7243785400 |
| Fax Number: | 7243022093 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |